Qi Jing didn't look at the five-person photo on a whim, and of course he didn't take two photos to compare them on a whim. The reason was the new brain CT and cerebrospinal fluid examination, and this report made Qi Jing think of something.

In fact, his feeling is similar to Huang Yuhuai's.

On the premise that the patient's information is becoming more and more perfect, the results of the symptoms and examination report will gradually collide with the knowledge and experience buried deep in the mind, and the answer will be the first to come to the sea.

In order to determine the correctness of the answer, Qi Jing naturally needs to verify it. Now the blister or herpes on the corner of Ding Xiujuan's mouth is evidence. Herpes is the first step, and hearing is the second step of this type of infection. However, before he could ask questions, Ding Xiujuan's reaction had already told him the answer.

Cold sores, high fever, chills, abdominal discomfort, suppurative meningitis, hearing loss, Qi Jing pieced together these fragmented symptoms in his mind: That’s right! It’s it!

Ding Xiujuan's infection puzzle collection is almost complete. There are two specific symptoms of cold sore hearing loss as the basis, so she should be able to lock in the target. The infection route is probably the digestive tract, and they have eaten a lot of this food along the way. As for where the source of the infection is, it is hard to say...

etc!

Digestive tract?

If you only rely on eating, the requirements for food are too far-fetched and unlikely.

Besides, the incubation period of this little thing, not to mention that so many days have passed, it should have been widely spread before Wang Gui and his wife returned to China.

wrong!

Its disease course progressed too quickly, maybe it had already caused a life! Yuenan is now suffering from disasters everywhere, but there are not such good medical resources to focus on dealing with patients with sudden septic shock.

Once such a patient appears, he is likely to die of illness at home or on the bed of a hospital in a hospital. Yuenan is now surrounded by emotions throughout the country, and perhaps infectious disease experts will be kept in the dark, but it is impossible for Pei Hongying to have no news.

It can't be a digestive tract infection!

Since it’s not about food, there’s only another main way left...

Qi Jing looked at the few people in the photo again and breathed a sigh of relief: Fortunately, no one was transmitted to the bacteria...

The name of a pathogen reminded him of the 2005. The locations and times were different, but the things were still the same thing. As a result, due to the gap in knowledge, there were quite a few small outbreaks. However, because of the lessons of the past, most of them were killed in the bud.

He had just entered the clinic and could not touch the bacteria at all, and had never heard of it. But after several years, he followed Huang Yuhuai and his horizons became wider.

However, it is not enough to just know what bacteria are now. You also need to understand the source of infection and the complete chain of infection. If you cannot eliminate the source, according to the roadmap of Wang Gui's family spread all over Yuenan, maybe every flight from Yuenan to China will have infected people.

It will not be widely spread at that time, but the development of this disease may cause panic.

The most likely place is probably...

Now in the 3i conference room, all the eyes of infectious disease experts are staring at Qi Jing. Since getting started with the McDonald's burger, this guy has just chewed a few bites and put them aside and never touched his mouth.

Huang Xinghua and the expert B around him called him several times, but he just "um" twice and then disappeared.

"What's wrong with this guy?" Expert b swept his noodles, took a tissue and wiped his mouth, and then said, "Why are you not making any noise again? You're too self-centered."

"Teachers, don't worry about Brother Qi, he will be like this when he thinks about it."

Unexpectedly, the first person to speak was Hu Dongsheng from the audience. He quickly wiped out the hamburger in his hand, patted the bread crumbs on his hand, and said, "I think the source of infection is on the food."

Hu Dongsheng is outgoing, and his self-confidence is very easy to attract people's attention.

With just one sentence, he focused everyone's attention on himself. Of course, it is useless to just have a sense of existence here, and opinions must be tenable.

Although Ding Xiujuan's abdominal symptoms were deduced before, it was roughly possible to determine that the infection route was the digestive tract, but there was still a lack of definite evidence. So these experts wanted to try this young man: "What is the basis?"

"The reason is that these days they have eaten all kinds of food, but the places they have walked around the capital, with a very diverse route but a small range."

Hu Dongsheng said: "Whether it is a clothing factory, an orchard, a real estate company, or a refrigeration equipment decoration company, it is actually around Hanoi, and some are even in the city. If it is air transmission, then maybe there will be problems in the entire Hanoi."

"It's still an exclusion method." Expert c shook his head.

"It's not just the way to eliminate it." Hu Dongsheng seemed to have been used to this kind of expert consultation scene, and still had clear ideas when asked questions. "Does the patient's wife have blisters on the corners of her mouth? It may be that the infection starts from the mouth, enters the digestive tract and then enters the brain, which is a process."

After hearing this, the expert nodded and continued to ask, "What about the source of infection?"

"Is the source of infection..."

At this time, Gao Jian took Hu Dongsheng's words and said, "Beef, pork, chicken, seafood, and various pasta dishes. Among them, seafood is prone to bacterial infection, but the infection has serious gastrointestinal symptoms, which is inconsistent with this medical record. The problem with pasta should be fungal infection, and the symptoms are more inclined to toxin poisoning, which is not consistent."

Hu Dongsheng said: "What's left is the meat!"

Gao Jian looked at the beef patties in the hamburger in his hand and continued: "Improper meat storage will cause digestive tract symptoms like seafood. However, meat has the option of zoonotic diseases, which can easily enter the human body through the digestive tract, and the symptoms are difficult to say. Of course, other side dishes may also have this possibility, but the probability is much lower."

“…”

The experts sitting around the table were very sarcastic when they saw the two young men talking, and suddenly they thought that it had only been more than ten minutes since the two young men entered the door. From the road map to the various things they came into contact with, four medical records were sprinkled with them, and this was how clear it was all clear?

This ability to digest medical records is not something that can be learned by professional studies.

Moreover, the two people's discussions are very novel. They did not waste time on the existing point of view, but chose to work hard directly on food, and they just inferred this step. Of course, the accuracy cannot be guaranteed, but it is not easy to have such a level at a young age.

By the way, is the internal emergency department of Danyang Hospital that strong?

Hu Dongsheng looked at the case records in his hand again and suggested: "I think it's enough to wait for those two distant relatives to get sick now."

Gao Jian nodded: "Yes, if the two brothers get sick, it will be the last supper. If they don't get sick, it will be the infection that Wang Gui and Ding Xiujuan were themselves."

"Don't you rule out other possibilities?" asked expert b.

"Exclusion?" Hu Dongsheng shook his head and said with a smile, "No need. When we are in the emergency department, we always have to go to treatment first when we have a high possibility. It is important to make a living."

"Since this patient's third-generation cephalosporin is ineffective, then Wangu Taineng is indeed the safest choice." Gao Jian added.

"By the way!" Suddenly Hu Dongsheng added, "Will it be that the adult body disintegrate after the parasite treatment, and then the patient's allergic shock caused by the collapsed insect body?"

Huang Xinghua's eyes lit up. He really didn't expect that the urgent doctor would think of this.

But looking at Qi Jing who was still standing by and staring alone, he felt relieved. With a person who focused on parasites, his colleagues around him would naturally know more about parasites.

Huang Xinghua explained: "The treatment I used before was to kill and then kill. The treatment drugs I took first will not cause the insect body to disintegrate. Moreover, there were no parasites in the patient's brain, and they were more hiding in the lungs and digestive tract."

"These two young people are right. With Ding Xiujuan's symptoms just now, meat is indeed the most prone to problems." Expert C said, "As for chicken, pork or beef, I think it is better to rely on Yuenan's local quarantine department to check."

Expert b also echoed: "I searched all the places, and there were only five places for eating with meat. Including Yang Yinghua's home in the end, there were only six places. The scope has been greatly reduced, so there is no need to check it down."

"What we need to do now is to save the couple's lives, and then conduct a lot of inspections on the flight crew and the two distant relatives to see if there is any possibility of human-to-human transmission."

Although Huang Xinghua felt that the consultation was not perfect, everyone was really tired at this time: "Then like this, let's make a decision when my old man arrives."

"Old Mr. Huang is coming?"

"Well, it should be coming soon." Huang Xinghua looked at the watch and said, "I have asked someone to pick it up."

Since Huang Yuhuai is about to arrive, it is impossible for these infectious disease experts to leave: "Then let's wait."

The scene became cold for a while, and all you could hear was the sound of drinking tea and lighter. Gradually, everyone couldn't stand the loneliness and started chatting in a low voice: "I think even if Mr. Huang arrives, I can't tell if it's human-to-human transmission..."

"It's hard to say that our experience values ​​are not on the same order of magnitude as the old man. In the past ten years, he has been on the front line of resistance, going deep into grassroots hospitals, and knows very well some unpopular microorganisms that are rare or unseen in big cities."

"Can we still see the source of infection?"

"Who knows..."

However, just as they gradually became impatient, a young man's voice sounded in the corner of the conference room: "The source of infection has been found, it's a pig!"

???

puff......

Cough cough cough...

The sudden voice broke through the quiet tranquility, which also scared the experts, and even made the expert who was absorbing nicotine into his lungs choke a mouthful of smoke: "Ahem, what did you say?"

"It's a pig." The person who spoke was Qi Jing who had been thinking.

"Why is a pig?"

"Is there something wrong with the pork burrito before? Or is there something wrong with the last meal?" Everyone was puzzled. Why did Qi Jing fall in love with pork at first glance?

"How could it be the last meal? Where did the pork come from for dinner? To be precise, it was the second-last lunch, and the black three chops and that pork belly. No, wait..."

Qi Jing shook his head and immediately corrected his statement, or put it in a huge patch: "As he said that, he was led by you, and this disease is not something to eat at all. The bacteria will die immediately in the high temperature of boiling water, and even 60-degree hot water can eliminate them in ten minutes."

"ah?"

"Not you eat? How did that come about? Could it be a respiratory infection?"

"Contact." Qi Jing pointed to his eyes: "Didn't you forget Ding Xiujuan's conjunctiva, right? There are tears and redness in the conjunctiva, which is caused by the contact conjunctiva."

"Is it conjunctivitis first and meningitis?"

"Not that, I have never seen such a case in clinical practice."

"No, no!" Qi Jing said again, "It is not necessarily conjunctivitis, but the chance of this bacteria causing conjunctivitis clinically is very low."

Huang Xinghua listened while listening, remembering what the old man said to him just now, and always felt a little complicated.

He began to be biased towards virology since his master's degree, and after graduating from his doctorate, he even went abroad to study virology. Last year's Sars made him the first person in virology in China and also took on the burden of going to Beijing to resist.

"Trophy" means protecting the capital of Shangjing, and he also gained the position of director. But in Huang Yuhuai's eyes, his director is like a collision with a great fortune.

Huang Xinghua didn't take it seriously before. But now Qi Jing is repeatedly around him, and his leisurely thoughts have long dissipated, leaving only the urgency of being chased by his younger generations.

He frowned, looked at Qi Jing's eyes, tapped the table with his fingers and said, "Tell me, what bacteria?"

"Stacci suis, zoonotic disease."

Qi Jing gave the answer, and added: "This bacteria starts rapidly after infecting the human body, and often septic shock occurs within a few days, but the good news is that no human transmission."

What is Streptococcus suis?

The experts here are all old-fashioned. Ordinary bacteria are no problem, and they also have some understanding of zoonotic diseases, but there is a gap in this bacteria. At least they have scanned all major journals and have never seen anyone write about this bacteria.

"Of course no one writes it, and no human transmission is transmitted, which narrows its transmission range, and the bacterial infection requirements are not low." Qi Jing said, "In addition to the extremely low probability of digestive tract infection, the most important thing is to contact directly and then enter the human body through the conjunctiva and wounds."

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